Member Portal
Member Registration Form
*Required fields
Personal Details
First name*:
*
Last name*:
*
Company / Organisation:
Contact phone*:
*
Email address (primary)*:
*
Email address (secondary):
Street address line one*:
*
Street address line two:
Town / Suburb*:
*
Postcode/ZIP*:
*
Country*:
AUSTRALIA
OUTSIDE AUSTRALASIA
NEW ZEALAND
PAPUA NEW GUINEA
FIJI
FRENCH POLYNESIA
NEW CALEDONIA
SOLOMON ISLANDS
TONGA
VANUATU
WESTERN SAMOA
If outside Australasia, please specify:
State*:
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
State/Province*:
Membership Details
Receive ABS Newsletters by*:
Email
Post
Receive other correspondance by*:
Email
Post
*Includes membership renewal forms, tax invoices etc
Please add my email address to the Australasian Bat Society Email Discussion List
Select membership type*:
Standard
Concession (student, unemployed or retired)
Institution
Select membership term*:
This year only (membership will expire on Dec 31st this year)
This year + one additional year
This year + two additional years
This year + three additional years
*Membership runs from 1 January to 31 December. The membership fee for this year will be automatically adjusted on a pro-rata basis.
Message Board notifications
:
Receive instant notifications for all new posts and comments
Receive instant notifications for new posts only
Receive daily digest of all new posts and comments
No notifications
If you would like to add an additional donation amount to your registration, please select from the options below.
YES, I would like to make an optional donation
*Donations to the Australasian Bat Society are tax deductable
Select amount:
- Please select -
$10.00
$25.00
$50.00
$100.00
Other (please specify below)
Other amount:
$
Please nominate a password*:
*
*Must be between 6 - 14 characters
*Must be between 6 - 14 characters
Confirm password*:
What is 4 + 3?*
Antispam
*Incorrect
*Must be a digit
*Incorrect
*Incorrect
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